2010-2011 Lambda Theta Alpha Delta Nu Chapter

Loyola University Chicago

Scholarship Application

Section I.

Name_______________________________________________ Campus ID#_______________________

Last First M.I.

Home Street Address ________________________________________________Phone #___________________

City____________________________________ State______________ Zip Code ____________________

School Street Address __________________________________________

City ____________________________________ State _______________ Zip Code ______________________

Section II. Please answer the questions listed below:

1. What is your Major: ________________________________

2. What is your current academic level? Check One Only

First Time Freshman _____ Continuing Freshman _____ sophomore _____ junior ____ senior _____
Transfer Student _____

3. When do you expect to graduate from Loyola University? ______________ (e.g., Spring 2010)

I understand that by signing this statement, I have read and understand the scholarship application and essay
directions. I understand that my completed application and essay may be released to applicable donors and that my
application and essay information may be used for external and internal communication purposes. I further understand
that members of the Lambda Theta Alpha Latin Sorority, Inc. scholarship committee may review information related
to my enrollment, academic records, within the past twelve months, and any other appropriate university records in
the course of their review of my scholarship application.

__________________________________________________ __________________________
Your Signature Date

Submit the completed application and essay to:

Centennial Forum Student Union, Lake Shore Campus
1125 W. Loyola Ave. Mailbox #90 Chicago, IL 60626
Any questions contact us at Deltanu@lambdalady.org

Application Deadline is February 26, 2010 at 5:00 pm

Application 2010-2011

Section II.
 8. A. The following items must be attached to this application in order for the application to qualify to be
reviewed by the scholarship committee.
B. Your application will not be considered if these items are not attached to this application. (No exceptions.)
C. Circle “YES” or “NO” to be sure you have attached each item as required.

YES NO Most recent official college transcript. Photocopies of your transcript are not acceptable.

YES NO One 3 page essay answering the 3 questions mentioned on Cover Page of application.

YES NO Recommendation Letter(s) from a professional in a signed and sealed envelope.

STATEMENT OF ACCURACY

I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I
also consent that my picture may be taken and used for any purpose deemed necessary to promote Loyola University
Lambda Theta Alpha Latin Sorority, Inc. Delta Nu Chapter Scholarship.

I hereby understand that if chosen as a scholarship winner, according to Loyola University Lambda Theta Alpha Latin
Sorority, Inc. Delta Nu Chapter Scholarship policy, I must be present at Delta Nu Chapter’s “Burgundy and Grey
Soiree” on Saturday April 17, 2010 to receive my scholarship award.

Signature of scholarship applicant: _________________________________ Date: _______________________

REMEMBER

The deadline for this application to be received by the Chapter is February 22, 2010 5:00 p.m. No exceptions!